Zoledronic Acid (generic)
Multiple
- Treatment of Postmenopausal, Male and Glucocorticoid-induced Osteoporosis
- 5mg IV q 1 year
- Prevention of Postmenopausal Osteoporosis
- 5mg IV q 2 years
- Paget’s disease of bone
- A single dose of 5mg IV
Instructions
1 – Please open authorization forms (above). Fill out the forms on your computer, save and print.
2 – Open Physician Orders for the office of your choice (above). Save to your computer, print and fill out.
3 – Need past and present DXA report with T-score of spine and hip. Serum Ca++ and creatinine.
4 – The following tests should be performed and test results faxed to Pacific Infusion before the patient’s first visit: Zoledronic Acid – Serum Calcium and Creatinine
5 – Fax the completed, signed forms and a copy of the patient’s insurance card to:
Pacific Infusion Center – Fax: (310) 297-9222
6 – After the patient’s infusion appointment, our nurses will fax a copy of the infusion notes to your office.
